Screening 👓

Question 1

Osteoporosis screening in women

Answer 1

Above 65 years old should have a DEXA scan. If low body weight or increased risk of fractures start at 60 instead

Question 2

AAA screening

Answer 2

Ultrasound one time in men above 65 who have ever smoked. Not for any woman, or men who haven’t smoked

Question 3

General day-to-day safety recommendations from doctors to prevent injuries

Answer 3

Seat belts, helmet, not driving under the influence of alcohol. Screen women for domestic violence at each visit 

Question 4

When do we screen for high cholesterol

Answer 4

In men age 35, with no specific risk factors. Repeat every five years in normal risk individuals. If men and women have risk factors for coronary artery disease screen routinely after age 20

Question 5

When is screening for diabetes mellitus considered (clue: one specific disease)

Answer 5

In hypertensive patients

Question 6

Is there a screening recommendations for carotid artery stenosis

Answer 6

No

Question 7

Malaria prophylaxis if going to high risk area

Answer 7

Mefloquine. Chloroquine if patient pregnant

Question 8

Rabies prophylaxis if patient going to India Asia or Mexico

Answer 8

Give rabies vaccine.

Can-do intradermally, but must do IM if patient has concurrent malaria prophylaxis (due to chloroquine interaction)

Question 9

When to give Vaccine for travel hepatitis B

Answer 9

Working with indigenous population, having sex with indigenous population, receiving medical or dental care, stay in abroad for more than six months

Question 10

 When to give Vaccine for travel typhoid

Answer 10

Developing countries. Can you give oral live attenuated (refrig) in immunocompetence or the polysaccharide vaccine (no fridge).

Question 11

Went to give meningococcal vaccine booster.

Answer 11

Impatience between 16 and 21 years of age, if the primary vaccine was given before 16 years of age

Question 12

A patient has no history of prior meningococcal vaccine. What shall we give if he is more than 21.

Answer 12

More than 21 years old. Administer if the patient is asplenic, has complement deficiency, HIV, exposure to community outbreak, travel to endemic area, living in close quarters with others. 

Question 13

Advice to a patient, if travelling, to avoid travellers diarrhoea

Answer 13

Avoid raw food, avoid street vendors, loperamide if there is watery diarrhoea. If moderate to severe symptoms give fluoroquinolone or Macrobid

Question 14

Polio vaccine for travel

Answer 14

Three doses of inactivated polio vaccine. Previously immunise patients to take a booster shot before travelling

Question 15

Breast cancer screening

Answer 15

Mammography between ages 50 to 74, every one to 2 years. Patience with a very strong family history should consider prophylactic Tamoxifen

Question 16

Cervical cancer screening

Answer 16

21 to 65 can do Pap smear every three years

30 to 65 can do co test every five years

Question 17

Prostate cancer screening

Answer 17

For men only age less than 75

Question 18

General population colon cancer screen

Answer 18

Colonoscopy after 10 years. Starting at 50. Can do sigmoidoscopy every 5 years. Annual fecal occults blood test.

Question 19

Lynch syndrome colon cancer screening

Answer 19

Everyone to 2 years. Starting at 25

Question 20

family member <60 yr Has colon cancer. When should colon cancer screening happen for this patient 

Answer 20

Screen every five years. Start screening at 40 years of age, or 10 years earlier than the diagnosis of family member

Question 21

At what age should colon cancer screening stop

Answer 21

If normal colonoscopies prior, stop at 75

Question 22

Patient had previous adenoma,: screening afterwards

Answer 22

Every 3 to 5 years

Question 23

FAP. Screening regime

Answer 23

Every year, do sigmoidoscopy P at 12 years of age.

Question 24

Patient who is the previous history of colon cancer. What’s the colon cancer screening now

Answer 24

One year after reception, 3 is after, then every five years after

Question 25

You’re a GP. Which murmurs should have further investigation

Answer 25

Loud systolic murmur is, all diastolic murmur is, holosystolic murmur. Do echocardiogram

Question 26

Which Murmurs do not need further investigation

Answer 26

Mid systolics, and very soft manners

Question 27

Who gets the pneumococcal vaccine

Answer 27

Chronic disease patients who are less than 65 (PPSV23 Once). OCV13 and PPSV23 at 65. Everyone older than 65 (PCV13 once then PPSV23 8wks after then every 5 years).

Question 28

BPH screening

Answer 28

Based on Hx and DRE and urinalysis. If life expectancy above 10 years do PSA

Question 29

Lung cancer screening

Answer 29

Low-dose CT for adults age 55 to 80. Above 30 pack your history, who haven’t quit in the last 15 years

Question 30

Diabetes mellitus screening

Answer 30

In all patients above 45. Or anyone who has the diabetic risk factors (high BMI, physical activity, first-degree relatives, just stational diabetes history, hypertension, CVD, PCOS, history of glucose intolerance)

Question 31

Lynch syndrome patients, Other than colonscopy screening, what other screening do we have to do

Answer 31

Endometrial biopsy under 45

Question 32

Inflammatory bowel disease colon cancer screening

Answer 32

Colonscopy 8 years after diagnosis. Can do every 5 years if only on the left colon. Do every 1-2 years

Question 33

F

Answer 33

F

Question 34

Vx before transplant

Answer 34

ABD intellectual property

Hep A and B. DTAP. Influenza. Pneumococcal

Question 35

When a man turns 45, we start doing diabetes screening. Can you elaborate on this

Answer 35

Do HBa1 C. Every three years. If above 5.7 but not quite 6.5 we do the screening every year

Question 36

Cochlear implants or CSF leak… need what Vx

Answer 36

Our pneumococcal

Question 37

Live Vx?

Answer 37

Not for preg, or less than 1 year old (unless rotavirus). CD4 < 200

Question 38

2, 4, 6 months old

Answer 38

Generally when Vx’s are given in kids. Usually three doses at these intervals